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Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro’s vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts.

Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide.

Patient Advocates are part of the Care Delivery team, supporting our patients and network of providers as the non-clinically licensed members of a patient’s healthcare team. Working alongside Registered Nurses and Practitioners, Patient Advocates provide non-clinical administrative support to providers and empathetic, high-touch service to patients. Patient Advocates serve as a connection point between patients, providers, pharmacies, and insurance partners, helping patients navigate their care experience and resolve non-clinical needs. They answer patient questions, investigate more complex issues, communicate clear next steps, and provide additional support when patients need help moving through the treatment journey. Through proactive problem-solving, clear communication, and patient advocacy, Patient Advocates help create a seamless, supportive healthcare experience at Ro.

Please note, this is a 6-month contract.

What You’ll Do:

• Provide empathetic, high-touch support to patients anticipating needs, answering non-clinical questions, and proactively helping patients navigate their care experience
• Support providers with non-clinical administrative tasks in the Care Center (our Electronic Medical Record), including triaging, reassigning, and resolving patient messages accurately and efficiently
• Investigate and navigate complex patient situations, working with clinical, pharmacy, insurance, and operational teams to resolve issues and translate complex information into clear, actionable next steps for patients
• Contact pharmacies and insurance providers to assist patients with non-clinical prescription needs or issues, including benefits verification and prior authorizations
• Partner with cross-functional team mates within the organization and medical practice to balance patient needs, share knowledge, and contribute to team service, quality, and operational goals
• Surface recurring patient, provider, or workflow issues and provide feedback to help improve the patient experience and team operations
• Participate in pilots and new initiatives that improve patient support, expand retention opportunities, or optimize operations

What You’ll Bring to the Team:

• 1–2 years of experience in a patient-facing administrative, healthcare, customer service, or operations role
• Strong written and verbal communication skills, with the ability to communicate complex information clearly and empathetically
• Strong problem-solving skills and attention to detail, with the ability to investigate issues, identify next steps, and follow through to resolution
• Excellent time management and organizational skills, with the ability to work independently and manage multiple priorities in a fast-paced, asynchronous environment
• Demonstrated proficiency and comfort utilizing diverse technological tools and platforms to research and resolve patient inquiries; prior experience with EHR systems is strongly preferred
• Comfort working with internally-approved LLM-based message systems, ability to critically review LLM-generated content for accuracy
• Comfort utilizing internally-approved AI-based tooling for day-to-day workflows, comfort prompting AI tooling
• Comfort working toward defined service, productivity, and quality expectations and metrics
• Experience with health insurance plans, benefits verification, and/or prior authorizations preferred

Patient-facing Medical Assistant or other relevant healthcare experience preferred

• Bachelor’s Degree preferred
• Proficiency with collaboration and productivity tools such as Google Workspace and Slack
• Adaptability and a proactive approach to working in a rapidly changing environment
• Patients need support every day of the year, and that includes holidays. You will participate in a holiday work rotation.

We’re Currently Looking for the Following Availability:

• Sunday–Wednesday: 1:00 PM - 11:30 PM ET
• Wednesday–Saturday: 1:00 PM - 11:30 PM ET
• Monday, Tuesday, Thursday, Friday: 1:00 PM - 11:30 PM ET

These 4x10 shifts are not available to candidates residing in California.

While we try our best to accommodate schedule preferences whenever possible, schedules will be assigned based on the needs of the business.

This is a full-time role with an estimated 40 hours/week. Schedules will include a 30-minute unpaid lunch break.

We’ve Got You Covered:

• Medical benefits through an Individual Coverage Health Reimbursement Arrangement (ICHRA), beginning the first day of the calendar month following your 60th day of employment
• 401(k) with company match

The hourly rate for this position is $28/hour.

Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites).

At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law.

Ro is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and interview process. If you require a reasonable accommodation in the application or interview process, please contact us at [email protected].

See our California Privacy Policy here.

We may use automated tools, including artificial intelligence (AI), to assist with parts of our recruiting and hiring process, such as reviewing applications, evaluating resumes, and assessing responses or job-related qualifications. These tools are used to support our recruitment team and do not replace human judgment. Final hiring decisions are made by humans.

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro’s vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts.

Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide.

Patient Advocates are part of the Care Delivery team, supporting our patients and network of providers as the non-clinically licensed members of a patient’s healthcare team. Working alongside Registered Nurses and Practitioners, Patient Advocates provide non-clinical administrative support to providers and empathetic, high-touch service to patients. Patient Advocates serve as a connection point between patients, providers, pharmacies, and insurance partners, helping patients navigate their care experience and resolve non-clinical needs. They answer patient questions, investigate more complex issues, communicate clear next steps, and provide additional support when patients need help moving through the treatment journey. Through proactive problem-solving, clear communication, and patient advocacy, Patient Advocates help create a seamless, supportive healthcare experience at Ro.

Please note, this is a 6-month contract.

What You’ll Do:

• Provide empathetic, high-touch support to patients anticipating needs, answering non-clinical questions, and proactively helping patients navigate their care experience
• Support providers with non-clinical administrative tasks in the Care Center (our Electronic Medical Record), including triaging, reassigning, and resolving patient messages accurately and efficiently
• Investigate and navigate complex patient situations, working with clinical, pharmacy, insurance, and operational teams to resolve issues and translate complex information into clear, actionable next steps for patients
• Contact pharmacies and insurance providers to assist patients with non-clinical prescription needs or issues, including benefits verification and prior authorizations
• Partner with cross-functional team mates within the organization and medical practice to balance patient needs, share knowledge, and contribute to team service, quality, and operational goals
• Surface recurring patient, provider, or workflow issues and provide feedback to help improve the patient experience and team operations
• Participate in pilots and new initiatives that improve patient support, expand retention opportunities, or optimize operations

What You’ll Bring to the Team:

• 1–2 years of experience in a patient-facing administrative, healthcare, customer service, or operations role
• Strong written and verbal communication skills, with the ability to communicate complex information clearly and empathetically
• Strong problem-solving skills and attention to detail, with the ability to investigate issues, identify next steps, and follow through to resolution
• Excellent time management and organizational skills, with the ability to work independently and manage multiple priorities in a fast-paced, asynchronous environment
• Demonstrated proficiency and comfort utilizing diverse technological tools and platforms to research and resolve patient inquiries; prior experience with EHR systems is strongly preferred
• Comfort working with internally-approved LLM-based message systems, ability to critically review LLM-generated content for accuracy
• Comfort utilizing internally-approved AI-based tooling for day-to-day workflows, comfort prompting AI tooling
• Comfort working toward defined service, productivity, and quality expectations and metrics
• Experience with health insurance plans, benefits verification, and/or prior authorizations preferred

Patient-facing Medical Assistant or other relevant healthcare experience preferred

• Bachelor’s Degree preferred
• Proficiency with collaboration and productivity tools such as Google Workspace and Slack
• Adaptability and a proactive approach to working in a rapidly changing environment
• Patients need support every day of the year, and that includes holidays. You will participate in a holiday work rotation.

We’re Currently Looking for the Following Availability:

• Sunday–Wednesday: 1:00 PM - 11:30 PM ET
• Wednesday–Saturday: 1:00 PM - 11:30 PM ET
• Monday, Tuesday, Thursday, Friday: 1:00 PM - 11:30 PM ET

These 4x10 shifts are not available to candidates residing in California.

While we try our best to accommodate schedule preferences whenever possible, schedules will be assigned based on the needs of the business.

This is a full-time role with an estimated 40 hours/week. Schedules will include a 30-minute unpaid lunch break.

We’ve Got You Covered:

• Medical benefits through an Individual Coverage Health Reimbursement Arrangement (ICHRA), beginning the first day of the calendar month following your 60th day of employment
• 401(k) with company match

The hourly rate for this position is $28/hour.

Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites).

At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law.

Ro is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and interview process. If you require a reasonable accommodation in the application or interview process, please contact us at [email protected].

See our California Privacy Policy here.

We may use automated tools, including artificial intelligence (AI), to assist with parts of our recruiting and hiring process, such as reviewing applications, evaluating resumes, and assessing responses or job-related qualifications. These tools are used to support our recruitment team and do not replace human judgment. Final hiring decisions are made by humans.

Company Description

Lendi Group is a market-leading digital platform business that is focused on revolutionising the entire property journey. It operates Lendi - Australia’s original and #1 digital mortgage brand - and the iconic Aussie franchise.

Powered by our proprietary AI platform, a national network of 1,300 brokers and 220 retail stores, and an integrated ecosystem of property services, Lendi Group supports customers at every step of their property journey to find, buy and own with confidence. Managing a $107B+ loan book, the Group continues to set the pace in the industry and was recently recognised as Aggregator of the Year.

Why Join Us?

• Innovation at Our Core– We challenge the status quo and push boundaries to create better solutions.

• Work with the Best– Collaborate with some of the brightest minds in fintech, financial services, and strategy.

• Make an Impact – Contribute to meaningful projects that shape our business and the future of property finance.

• Grow & Evolve – Develop your skills and advance your career in a fast-moving, purpose-driven environment.

Job Description

We are looking for a People Operations Officer (Nurse) who will handle employee benefits, onboarding, and health services as the Company Nurse. This role also includes supporting other HR activities to ensure smooth HR operations and employee well-being.

• Manage employee benefits programs including, but not limited to, HMO enrolment, group life insurance, and other related benefits
• Manage related documentation
• Assist with other HR tasks as assigned to support HR operations
• Support onboarding orientation for new hires and offboarding activities for exiting employees
• Support employee wellbeing through first aid, wellness monitoring, and basic health education as the Company Nurse
• Support tasks related to government benefits such as SSS and PAG-IBIG
• Perform any other duties and responsibilities that may be assigned by management from time to time

Qualifications

• Bachelor’s degree in Nursing (BSN) with a valid nursing license is crucial

• 1 year experience as a company/office nurse is non-negotiable

• Exposure to HMO coordination is highly preferred

• Basic knowledge of HR functions, benefits, and onboarding

• Good communication and organizational skills

• Ability to handle confidential information professionally

• Willing to report at our Ayala, Makati office at least once a week

• Must be currently residing in the Greater Manila Area (Metro Manila + Neighbouring provinces)

Successful candidates must have a stable postpaid internet connection and a quiet, dedicated workspace at home with appropriate furniture (desk and office chair)

Additional Information

Lendi Group teams operate across Australia and the Philippines. Bringing together diverse expertise, innovative technology and a customer-first approach, our teams work seamlessly to simplify the property journey, helping Australians find, buy and own property with confidence.

We support our people in a variety of ways, but a few of the benefits that our people rave about include:

• A vibrant, relaxed, yet professional culture.
• We offer a hybrid working arrangement designed to support work-life balance while fostering meaningful connection and collaboration, with a requirement to work from our Makati office at least once a week.
• Holistic wellbeing programs offering 24⁄7 support
• Comprehensive HMO coverage for you and one free dependent, along with life insurance starting from Day 1.
• Access to 25 days of leave, made up of 20 vacation days and 5 sick days.
• Monthly internet subsidy to help you stay productive at home.
• Access to ongoing training and clear pathways for growth and promotion as part of your career journey with us.
• Access to all government-mandated benefits, including SSS, PhilHealth, and Pag-IBIG.

Our culture is guided by our three core values: We Are Stronger United; Act Like You Own It; and Keep Home Loans Human. These values are part of our DNA—helping us attract, engage, and grow the right talent while building best-in-class products. Together with our principles, they guide how we collaborate, support one another, and make decisions to drive progress with purpose.

We’re committed to fostering a diverse and inclusive community at Lendi Group. We believe that a team reflecting the world around us leads to greater innovation, stronger collaboration, and a more engaging workplace.

This is an opportunity to shape the future of a fast-growing, purpose-driven company that’s transforming the homeownership journey.

Ready to contribute to Lendi Group’s next chapter? Apply now and be part of something big!

Company Description

Lendi Group is a market-leading digital platform business that is focused on revolutionising the entire property journey. It operates Lendi - Australia’s original and #1 digital mortgage brand - and the iconic Aussie franchise.

Powered by our proprietary AI platform, a national network of 1,300 brokers and 220 retail stores, and an integrated ecosystem of property services, Lendi Group supports customers at every step of their property journey to find, buy and own with confidence. Managing a $107B+ loan book, the Group continues to set the pace in the industry and was recently recognised as Aggregator of the Year.

Why Join Us?

• Innovation at Our Core– We challenge the status quo and push boundaries to create better solutions.

• Work with the Best– Collaborate with some of the brightest minds in fintech, financial services, and strategy.

• Make an Impact – Contribute to meaningful projects that shape our business and the future of property finance.

• Grow & Evolve – Develop your skills and advance your career in a fast-moving, purpose-driven environment.

Job Description

We are looking for a People Operations Officer (Nurse) who will handle employee benefits, onboarding, and health services as the Company Nurse. This role also includes supporting other HR activities to ensure smooth HR operations and employee well-being.

• Manage employee benefits programs including, but not limited to, HMO enrolment, group life insurance, and other related benefits
• Manage related documentation
• Assist with other HR tasks as assigned to support HR operations
• Support onboarding orientation for new hires and offboarding activities for exiting employees
• Support employee wellbeing through first aid, wellness monitoring, and basic health education as the Company Nurse
• Support tasks related to government benefits such as SSS and PAG-IBIG
• Perform any other duties and responsibilities that may be assigned by management from time to time

Qualifications

• Bachelor’s degree in Nursing (BSN) with a valid nursing license is crucial

• 1 year experience as a company/office nurse is non-negotiable

• Exposure to HMO coordination is highly preferred

• Basic knowledge of HR functions, benefits, and onboarding

• Good communication and organizational skills

• Ability to handle confidential information professionally

• Willing to report at our Ayala, Makati office at least once a week

• Must be currently residing in the Greater Manila Area (Metro Manila + Neighbouring provinces)

Successful candidates must have a stable postpaid internet connection and a quiet, dedicated workspace at home with appropriate furniture (desk and office chair)

Additional Information

Lendi Group teams operate across Australia and the Philippines. Bringing together diverse expertise, innovative technology and a customer-first approach, our teams work seamlessly to simplify the property journey, helping Australians find, buy and own property with confidence.

We support our people in a variety of ways, but a few of the benefits that our people rave about include:

• A vibrant, relaxed, yet professional culture.
• We offer a hybrid working arrangement designed to support work-life balance while fostering meaningful connection and collaboration, with a requirement to work from our Makati office at least once a week.
• Holistic wellbeing programs offering 24⁄7 support
• Comprehensive HMO coverage for you and one free dependent, along with life insurance starting from Day 1.
• Access to 25 days of leave, made up of 20 vacation days and 5 sick days.
• Monthly internet subsidy to help you stay productive at home.
• Access to ongoing training and clear pathways for growth and promotion as part of your career journey with us.
• Access to all government-mandated benefits, including SSS, PhilHealth, and Pag-IBIG.

Our culture is guided by our three core values: We Are Stronger United; Act Like You Own It; and Keep Home Loans Human. These values are part of our DNA—helping us attract, engage, and grow the right talent while building best-in-class products. Together with our principles, they guide how we collaborate, support one another, and make decisions to drive progress with purpose.

We’re committed to fostering a diverse and inclusive community at Lendi Group. We believe that a team reflecting the world around us leads to greater innovation, stronger collaboration, and a more engaging workplace.

This is an opportunity to shape the future of a fast-growing, purpose-driven company that’s transforming the homeownership journey.

Ready to contribute to Lendi Group’s next chapter? Apply now and be part of something big!

Our team members are at the heart of everything we do.

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!

Learn more about our unique benefit offerings here.

Job Description

About the Role: We’re looking for a Health Services Intake Specialist to work within a call center setting facilitating care management functions, including eligibility and benefit verification, authorization status inquiries, data collection/documentation and accurate completion of precertification and notification requests. This individual will provide administrative support to care management teams and contribute to corporate and department objectives by processing incoming care management requests in a prompt, professional and courteous manner.

About You: Are you excited about the opportunity to advocate for stakeholders through collaboration with multi-disciplinary teams? Are you able to manage a large variety of responsibilities while staying organized? Do you enjoy researching within guideline documentation and making decisions based on what you find? If you are a dedicated, customer-focused health care professional motivated and inspired by the opportunity to provide administrative support to care management teams in a fast-paced production environment, consider applying today!

This role will require training for the first 6 weeks from our Des Moines, Iowa office. After a successful training period, you will be eligible to work remotely each weekday*, or a hybrid office/home schedule based on your preference.

*Remote eligibility subject to change based on business needs.

Qualifications

Required Qualifications:

• High School Diploma or GED.
• 1+ years of related experience including customer or provider service experience, including experience developing customer relationships via telephone, obtaining necessary information and accurately documenting conversations and health insurance or health care industry experience.
• Experience working within a production environment with production & quality metrics.
• Demonstrated ability to apply critical thinking to resolve issues and conflicts while maintaining composure and confidence.
• Ability to prioritize work and meet deadlines.
• Strong written and verbal communication skills with the ability to effectively communicate to varying audiences.
• Proficiency with Microsoft Office applications.
• Excellent attendance and punctuality.
• Must be comfortable working in a high volume, fast paced call center environment.

Additional Information

What you will do as a Health Services Intake Specialist:

a.    Verify member eligibility and benefits as well as provider participation and network status.

b.    Perform accurate, timely documentation of information received via phone, fax, or provider portal within JIVA. Ensure accuracy of information through strong communication skills and adherence to department guidelines.

c.    Support the Nurse Care Managers by manually creating episodes for services and admissions that will be reviewed for medical necessity. Create and send letters to providers and/or members to communicate authorization request outcomes.

d.    Manage workload within regulatory turnaround time requirements and mandated timeframes for processing cases.

e.    Provide accurate information to members and providers by utilizing up to date guidelines and job aides. Meet both quality assurance and production metrics established by the Health Services department.

f.    Demonstrate understanding and accurate interpretation of regulatory and accreditation standards, Health Services guidelines, and HIPAA requirements.

g.    Comply with regulatory standards, accreditation standards and internal guidelines; remains current and consistent with the standards pertinent to utilization management services.

h.    Other duties as assigned.

Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]

Please inform us if you meet the definition of a “Covered DoD official”.

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants

Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.

$6–10 USD/hr Part-Time Remote Work From Home Role | 25 Hours per Week Potential to grow into a full-time position based on performance and business needs.

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

• Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
• Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
• Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

This is a 6 month contract position where you will assist members, providers, pharmacies, and the internal SmithRx teams to navigate complexities of prescriptions to guide timely coverage of clinically appropriate, cost effective medication therapy in accordance with plan benefit design and clinical criteria for coverage.  This may involve coordination of clinical review cases, checking coverage and plan rules, verification of submitted information, pharmacy and provider outreach, review of prior authorization requests within established protocols, and assisting to triage and troubleshoot questions and escalations. At SmithRx, we design customized benefit plans for our customers and you are at the forefront of helping navigate and execute drug access.

What you will do:

• Verify eligibility and drug coverage under the plan benefit design to determine appropriate claims processing
• Responsible for triaging the process of clinical review for prior authorization requests at different levels as per established protocols
• Review prior authorization and similar requests under protocol using prior authorization criteria, claims history and plan benefit rules, including prescriber/pharmacy outreach to verify and gather complete required information
• Organize and prioritize multiple requests internally and externally to ensure timely prior authorization case management.
• Build and adjust authorizations under protocol within the claim adjudication system
• Use pharmacy technician experience to navigate drug products, formulations, and perform basic calculations to check and monitor accurate claims adjudication.
• Ability to critically assess and synthesize multiple workflows together in order to make a sound clinical decision
• Work across teams to coordinate outreach, address questions/escalations, and help guide processes and protocols for timely and appropriate medication coverage.
• Evaluate member clinical situation against medication policies and make a determination to approve or triage to Pharmacist for denial
• Critically assess when medications need to be sent for internal or external review based on synthesizing multiple protocols together
• Reach out to select external stakeholders for approval on drugs with dollar limits

What you will bring to SmithRx:

• High School diploma or GED or equivalent work experience
• Active Pharmacy Technician license required
• 2-4 years of experience as a Pharmacy Technician
• Experience in prior authorization review (specifically working on the approval side at a PBM or health plan) preferred
• Proficiency in Mac, MS Office, G-Suite required
• Critical thinking to navigate complex customized benefit plans to make sound clinical decisions
• Active listening, conversational speaking skills, with a high degree of empathy
• Self-starter with ability to multitask, prioritize and manage time effectively
• Ability to communicate clearly, present complex information to members, clients, pharmacies, providers, and other teams internally
• Ability to work accurately within protocols and follow appropriate escalation pathways for unique situations or where clarification is needed.

Eligibility & Pay Transparency:

Our company is currently able to offer remote contract employment for this position exclusively to candidates residing in the following states: AR, AZ, FL, GA, KS, MO, OH, TN, TX, UT, VA, and WI.

Please note that automated job board settings may display pay transparency details for additional states. However, we are unable to extend contract offers or hire individuals located outside of the listed eligible states at this time.

Zone A includes the following locations:

• San Francisco Bay Area - California
• Metro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range

$22—$22 USD

Zone B includes the following locations:

• California - outside of San Francisco Bay Area
• Metro Denver / Boulder - Colorado
• Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
• Metro Boston / Cambridge - Massachusetts and New Hampshire
• Metro Austin - Texas
• Metro Seattle - Washington

Zone B Pay Range

$22—$22 USD

Zone C includes all other locations not listed above, including:

• Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
• Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia

Zone C Pay Range

$22—$22 USD

Compensation & Benefits

• Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
• Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.

Become a part of our caring community The Medical Records Clerk 1 assembles and maintains patients' health information in medical records and charts.

The Junior PV Officer role is a mid senior role that requires previous experience in Pharmacovigilance case processing.

Job DescriptionUW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER.

APPLICATION INSTRUCTIONS: If you’ve already completed the 20four7VA Recruiting Process—including the Final Interview—or have previously been contracted by a 20four7VA Client, please make sure to apply via the 20four7VA Team Portal for faster processing.

Log in using your 20four7VA-issued email address to access the portal.

If you’ve just logged in to the Team Portal, please proceed to review the Independent Contractor Opportunity outlined below.

💡 Quick Tip: Upload your resume first—this will automatically populate most of the fields in the application form. Let the magic happen!

If you’re interested in this opportunity, click APPLY TO POSITION to proceed.

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Title: CPT-11552 Medical Scribe & Clinical Documentation Virtual Assistant

Independent Contractor – CPT-11552 Medical Scribe & Clinical Documentation Virtual Assistant/Business Support VA/Junior-Advanced Level (Remote).

Overview

20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia.

A San Diego-based healthcare provider is seeking a part-time Medical Scribe Virtual Assistant to assist with clinical documentation, note preparation, information transfer, and recurring back-office support.

The VA will help prepare and format medical notes by pulling relevant information such as medications, vitals, and other clinical details into the appropriate documentation structure so the provider can review and finalize records efficiently.

A medical background is important because the client wants someone who understands the context of the information being handled, not simply a general data-entry VA.

The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.

Scope of Services

Contractors will be required to provide services that align with the following client tasks:

Clinical Documentation

• Prepare and format patient notes based on established templates and workflows
• Transfer relevant medical information into required documentation
• Review and organize medications, vitals, and other clinical details
• Assist with preparing notes for provider review
• Maintain accurate and complete documentation
• Flag incomplete or unclear information for provider review
• Complete assigned documentation within required turnaround times

Medical Records & Administrative Support

• Organize patient-related files and records
• Transfer information between approved systems as required
• Assist with recurring back-office medical documentation
• Support booking or administrative tasks directly related to clinical workflows
• Follow client-provided documentation and compliance procedures

Training & Workflow Compliance

• Complete required client training modules
• Learn the client’s clinical applications and systems
• Follow established processes for note preparation
• Maintain confidentiality of patient information
• Work toward completing prepared notes within 48–72 hours for provider review

Each engagement is based on a defined scope of work and is governed by an independent contractor agreement. Services must be performed professionally, with adherence to any timelines, guidelines, and deliverables agreed upon in writing.

Skills

The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:

• Medical, clinical, healthcare, or medical-scribe experience strongly preferred
• Executive or back office experience strongly preferred
• Medical terminology knowledge strongly preferred
• Previous documentation or medical-record experience strongly preferred
• Strong typing and data-entry ability required
• Strong attention to detail required
• Experience with EMRs/EHRs is a plus
• Ability to maintain patient confidentiality required
• HIPAA familiarity preferred; certification can be facilitated

IDEAL CANDIDATE PROFILE

• Previous medical or healthcare background
• Familiar with medical terminology
• Strong attention to detail
• Accurate and efficient with documentation
• Comfortable working independently once trained
• Able to understand clinical context rather than simply copy data
• Strong written English
• Dependable with deadlines and recurring work
• Comfortable learning medical software and documentation systems

APPLICATION SOFTWARE KNOWLEDGEABLE / REQUIRED

• EMR / EHR Platforms – Client Training Provided
• Medical Documentation Systems
• Microsoft Office / Google Workspace
• Email & Calendar Platforms

Work Schedule

• Contracted Hours per Week: 20 Hours
• Scheduled Working Days: Monday through Friday (unless otherwise mutually agreed in writing)
• Daily Working Time: 12:00 PM – 4:00 PM PST

Note: The Company will make reasonable efforts to align the Assigned VA’s schedule with the Client’s preferred hours as set forth above. However, availability may vary based on time zones, capacity, and the contracted hours set in this SOW. Any changes must be mutually agreed to in writing through a revised SOW.

Terms of Engagement

• Contractors will operate under a Master Services Agreement and a Statement of Work
• This is not an offer of employment; contractors are not employees of 20four7VA or any client
• All compensation is processed through 20four7VA according to the terms of the engagement

Role Summary & Requirements

• REQUIRED SERVICE: Business Support
• REQUESTED EXPERIENCE TIER LEVEL: Junior, Senior and Advanced Level
• Contracted Hours per Week: 20 hours/week
• Daily Working Time: 12:00 PM – 4:00 PM PST
• Scheduled Working Days: Monday-Friday
• REPORTING TO/POC: To Be Determined
• Number of VAs: 1
• GENDER PREFERENCE: None
• LANGUAGES SPOKEN/PREFERENCE: English
• ACCENT PREFERENCE: Level A-C (Strong spoken and written English required)
• REGION PREFERENCES: Any

What we offer

• Competitive rates
• Weekly payments
• Various open roles are available
• Free training and upskilling
• Constant support and guidance
• A vibrant community always ready to support you
• And more!

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you’ll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?

Job Description

The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
• Responds to questions and concerns.
• Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
• Maintains patient confidentiality per HIPAA regulations.
• Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine.
• Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
• Correctly identifies and collects patient demographic information in accordance with organization standards.
• Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
• Reaches out to patients to schedule an appointment as defined.
• Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
• Informs patients of any issues with securing the financial account for their encounter.
• Completes out-of-pocket estimations as requested by patients.
• Provides training and education as needed.
• Manages work schedule efficiently, completing tasks and assignments on time.
• Completes other duties assigned by manager.
• Cross-training between various departments will take place to ensure coverage.
• Participates in Quality Assurance reviews to ensure integrity of patient data information.
• Uses effective service recovery skills to solve problems or service breakdowns when they occur.
• Utilizes department and hospital policies and procedures to complete assigned tasks.
• Adheres to all department policies and compliance requirements.
• Avoids putting patient in financial or safety risk.
• Other duties as assigned.

Communication and Collaboration:

• Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations.
• Collects authorization numbers in appropriate systems as applicable.
• Provides professional and constructive environment for communication across units/departments and resolves operational issues.
• May attend intra/interdepartmental meetings which involve walking within NM Campus.
• Communicates customer satisfaction issues to appropriate individuals.
• Demonstrates teamwork by helping co-workers within and across departments.
• Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
• Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care.
• Accommodates all levels of communication ability.

Technology:

• Utilizes multiple online order retrieval systems to verify or print the patients order.
• Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary.
• Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic.
• Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position.
• Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable.
• Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct.

Efficiency, Process Improvement, and Business Growth:

• Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records.
• Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system.
• Understands departmental and individual quality metrics.
• Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions.
• Evaluates procedures and suggests improvements to enhance customer service and operational efficiency.
• Participates in departmental quality improvement activities.
• Provides ideas and suggestions for process improvements within the department.
• Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards.
• Adjusts processes as needed to meet standards.
• Uses organizational and unit/department resources efficiently.
• Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information.
• Understands that schedule may change to reflect shifting business needs.
• Evolves and learns as healthcare policies change.

EOE including Disabled and Veterans.

Qualifications

Required:

• High School diploma or equivalent.
• 2-3 years customer service or medical office experience.
• Excellent interpersonal, verbal, and written communication skills.
• Proficiency in computer data-entry/typing.
• Excellent verbal and written communication skills.
• Ability to read, write, and communicate effectively in English.
• Basic Computer Skills.
• Ability to type 40 wpm.
• Ability to multi-task.
• Customer service oriented.
• Excellent organizational, time management, analytical, and problem solving skills.

Preferred:

• Additional education.
• Additional language skills.
• Healthcare finance and/or healthcare insurance experience.
• Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.

Additional Information

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.  Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.

Click on or copy and paste URL to your browser to view detailed benefits information

NorthwesternMedicine Career Page

https://jobs.nm.org/benefits

Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings.

If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception: New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

Headquarters: MMC Group
URL: http://www.mmcgrp.com

Benefits Verification Specialist – Remote

Pay: $17.00/hour
Schedule: Monday–Friday, 8:30 AM–5:30 PM EST
Breaks: 1-hour unpaid lunch + two paid 15-minute breaks
Work Setup: Remote | BYOD

Position Summary

We are seeking a Benefits Verification Specialist to verify patient insurance benefits and accurately document coverage information.

Responsibilities

• Verify patient insurance benefits and eligibility.
• Review coverage, cost share, provider options, and restrictions.
• Contact insurance companies and document benefit details.
• Assist with prior authorizations and claims appeals when needed.
• Complete accurate data entry and quality reviews.
• Identify and escalate missing information or reimbursement issues.

Requirements

• High school diploma/GED required.
• 2+ years of related experience or a 2-year degree.
• Healthcare, insurance, medical billing, or customer service experience preferred.
• Benefits verification experience strongly preferred.
• Strong computer, communication, problem-solving, and attention-to-detail skills.
• Proficiency with Outlook, Word, and Excel.

Remote BYOD position | $17/hour

 

Can't Live in these states:

California Colorado Connecticut Hawaii Washington DC Illinois Iowa Maine Maryland Massachusetts Michigan Minnesota Montana New Hampsire New Mexico Nevada North Dakota New Jersey New York Oregon Pennsylvania Rhode Island South Dakota Vermont Washington West Virginia

To apply: https://weworkremotely.com/remote-jobs/mmc-group-benefits-verification-specialist-call-center-agent-remote-must-have-your-own-computer

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